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Irritable Bowel Syndrome Antibody Test

North Carolina rates for HCPCS 0164U

Helps tell whether a person's bowel symptoms are due to irritable bowel syndrome. It measures two antibodies in blood plasma, one against the bacterial toxin CdtB and one against vinculin, a protein in the gut wall, and interprets them against thresholds set for IBS.

Rates data updated July 2026.

How much does Irritable Bowel Syndrome Antibody Test cost?

$89.13

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $95.50 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$81.28 to $89.13
FacilityA hospital or hospital-owned outpatient department$95.50$89.13 to $195

How much rates vary

Facilitymedian $95 · 10th to 90th $59 to $537Professionalmedian $89 · 10th to 90th $68 to $89
$50$100$200$500facility $95professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$89.13
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$295.12
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$169.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$89.13
Typical High
$117.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$112.20
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$56.23
Typical High
$112.20
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03

Where North Carolina sits

The same service costs 2.8 times more in South Dakota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 35th of 51

$89.13

SD $186KY $67.61

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.